| NPI | 1275980823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 156066) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 008234) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 68050) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-01-18 |